A thorough medical history is the cornerstone for an effective assessment of your health. We will discuss any health concerns you may have along with your past medical issues, identify susceptibilities based on your personal and family background, as well as your current lifestyle and habits.

These detect indicators of anemia, diabetes, thyroid disease, liver and kidney disease, and include a lipid panel to assess cardiac and stroke risk factors. A Prostate Specific Antigen (PSA) screening is included for men beginning at age 40; HIV test, with your consent, is performed for those under age 65.

Detects changes in the heart’s electrical activity. Patterns seen in the tracing indicate where tissue may have been damaged, if coronary arteries may be blocked, or if irregular beats occur frequently.

A hearing test performed by an audiologist who makes recommendations to help preserve hearing or may suggest sound amplification.  This should be obtained during your initial visit and subsequent studies will be determined based your needs.

 

Performed at the Wilmer Eye Institute by an optometrist and includes the external eye structures, pupils, eye muscle function, internal pressure, visual fields, and visual acuity.  Contact lens fitting is not included during this exam.

This screening includes a head-to-toe assessment by a dermatologist to detect skin cancer through visual inspection. The dermatologist will inspect the skin for concerning lesions and will ask that you point out any spots that have been changing, growing, bleeding or are of concern. This evaluation does not include a diagnostic evaluation and management of any new or chronic conditions (ie. rashes, acne, rosacea or cosmetic issues).

 

Your immunizations will be reviewed with the physician, and if any need to be updated, they will be administered during your visit. 

At the end of your visit you will meet with your Executive Health physician to review all test results, determine if additional testing or follow-up care is needed, and determine what lifestyle changes are ideal in order to improve your overall health. A written summary of your results will be available to you following your visit. At your request, we will provide a copy of your results to your primary care physician.

One or the other may be performed, but not both.

Exercise Stress Test – This treadmill test evaluates how your heart responds to physical activity. The test consists of walking and/or running on a treadmill while the speed and incline are gradually increased. Your electrocardiogram and blood pressure are monitored for any indications of cardiovascular disease. A baseline test is recommended beginning at age 45 (men)/ 50 (women) for patients with risk factors for premature arteriosclerosis - diabetes, cigarette smoking, significant hypercholesterolemia and family history of heart attacks at a young age. This test is also useful if you are beginning a fitness program. Others begin at age 50. Whether it should be repeated requires individualized review with your physician.
 

Metabolic Fitness Assessment* – This treadmill test is used to measure the performance of your heart and lungs, particularly while they are under greater physical demand. This test is the gold standard for functional/aerobic capacity testing. These tests consists of walking and/or running on a treadmill while you are breathing into a mouthpiece. The speed and incline of the treadmill are gradually increased throughout the test. All of the air you breathe in and out during the test is analyzed. Your electrocardiogram and blood pressure are monitored to ensure safety throughout the test.

Measurements are taken to estimate your overall body fat and determine if your body mass index (BMI) presents risks for medical conditions such as diabetes, heart disease, sleep apnea and certain cancers.

A CT scan of your heart to assess the severity of coronary artery disease.  Specifically it looks for calcium deposits in the coronary arteries that can narrow and increase the risk of a heart attack;  this one-time test is recommended if you have a family history of heart disease or are at significant risk for heart disease. This scan does result in radiation exposure

A noninvasive procedure that looks at images of the aorta, the main blood vessel leading away from the heart.  This scan can diagnose aneurysms that develop in the abdominal aorta; recommended if you are over age 65 and have ever smoked.  This scan does not result in radiation exposure.

A specialized x-ray that will take multiple pictures of your lungs as you lie on a table that slides through the CT machine.  A computer then combines the images in to a detailed picture of your lungs for the radiologist to review.  This is recommended annually if you are a current or former smoker over the age of 50.  This scan does result in radiation exposure.

The standard 90 minute screening is designed to evaluate memory and other cognitive functions as they affect occupational and personal functioning, to assess emotion regulation and stress management and to evaluate and encourage health-affirming behaviors. The assessment consists of a brief interview, testing of memory, executive functioning and psychomotor speed; pencil and paper questionnaires to asses mood and personality with interpretation and recommendations by the neuropsychologist.

An Exercise Physiologist will work with you to create an individualized exercise program and provide guidance on incorporating exercise and fitness into your daily life. Exercise guidelines, program progression, and proper technique are reinforced during this session. This is recommended for patients who plan to start a regular exercise regimen or significantly change their existing fitness routine. Counseling is done in conjunction with the exercise stress test.

You will work with an Exercise Physiologist to assess your level of overall fitness. This hands-on assessment includes testing of muscular strength/endurance, flexibility and body composition. This is recommended if you plan to start a regular exercise regimen to identify baseline strengths and weaknesses. The assessment can be performed annually to determine the efficacy of an exercise program or to monitor your progress.

The most modern screening and diagnostic tool available for early detection of breast cancer. It is used to detect changes in breast tissue in women who have no signs or symptoms of breast cancer. Annual screening mammograms are recommended by The American College of Radiology for women age 40 and over. This scan does result in radiation exposure.

A screening procedure for cervical cancer that tests for the presence
of precancerous or cancerous cells on the cervix; this procedure is performed by the internist.

Used to measure bone mineral content and mass and can detect the depletion of bone calcium and protein, which increases your fracture risk.  The scan typically measures the density of the spine, pelvis, lower arm and thigh;  recommended if you are a female over age 65 or if you have risk factors for bone loss.  This scan does result in radiation exposure.